Whether its medicine or life.
You don’t need to know everything.
Get comfortable knowing what you don’t know.
And then move towards the answers.
There is no stain in not knowing, only in refusing to learn.
To disparage a colleague is bad enough but nothing frustrates me more than doing so to primary care
For the sake of our patients, we always have the choice to be professional and amiable and we must strive to always choose it
Recently, I gave my cell number to a rheumatologist who’s located 3 hours away on behalf of a patient, so I could help the patient coordinate care closer to their home and be a resource locally.
Not only did I get a “who are you and why did you even call me” kind of voicemail from the doctor’s office number (to call them back I had to go through 20 minutes of wait), but she made a referral for the patient to see another clinician (instead of me) also 3 hours away from the patient.
This made me mad.
It’s true that I’m just a country doctor. I’m not located in an academic center or a big city. But I’m where people need me to be. And I was trained in academic centers and tertiary hospitals. I just choose to be where I am because without the work we country doctors do, there would BE no tertiary referral centers. And goodness knows country doctors do so much work, our time is equally as valuable as any subspecialists.
Let me be clear: snobby attitudes don’t serve patients. Our pathetic little pride and hierarchy show exactly how disconnected we are from our patients, without whom we don’t have a job.
If we, as doctors, all think ourselves as colleagues of each other no matter where we are, what kind of resources we have, and what specialty we belong to, we do our patients a HUGE favor.
On this team, we all work with and for the patient. Wherever they are, that’s where we should try to be, literally and figuratively.
Let’s work together to make our patients’ lives easier. Please.
“However, healthcare providers are receiving earlier exposure and better training in the use of ultrasound imaging, and the incorporation of ultrasound into the delivery of ESIs has the potential to save the healthcare industry and patients significant financial costs”
when Virginia Woolf said, “Autumn is my season, dear; it is, after all, the season of the soul” and when F. Scott Fitzgerald said, “Life starts all over again when it gets crisp in the fall” and when Anne Shirley said, “I’m so glad I live in a world where there are Octobers.”
This has been one of the most common reasons I have encountered
Quality of sleep is a good marker for general quality of life which makes it an important screening question early on
The most common reasons adults choose to have shoulder surgery are the pain at night and the loss of sleep.
Otherwise, for the most part, most will tolerate the daytime discomfort reasonably well.
“…promising approaches should, in most instances, be tested in an RCT and, when results are positive, practice should change accordingly. Yet, the clinical trials and health care delivery enterprises largely ignore each other: RCTs frequently fail to generate knowledge …
What is the diagnosis of this patient with excessive tea drinking?
What is the description?
●Acromegaly
●Ankylosing spondylitis
●Fluorosis
●Mastocytosis
●Multiple myeloma